Mary Ashley Ryan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60318442 Issued in WA

Practice address

1715 Blanding St
Columbia, SC 29201-3441

Phone

(803) 799-3926

NPI assigned

Mar 9, 2009

Last updated

May 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ashley Walden Ryan Professional name

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1962680454

  SC

  Medicare reassignment NPD
• American Current Care P.a.

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1376356568
  NPD
• Rapides Healthcare System LLC

  • Internal Medicine Physician
  • Mamou, LA
  • NPI 1174609200
  NPD
• Rapides Healthcare System, LLC

  dba HP Long Urgent Care Clinic-Alexandria

  • Urgent Care Clinic/Center
  • Alexandria, LA
  • NPI 1477970168
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1326289117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 BLANDING ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013441",
            "telephone_number": "803-799-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 BLANDING ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013441",
            "telephone_number": "803-799-3926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11225 Pacific Ave S",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984445525",
            "country_code": "US",
            "telephone_number": "253-536-2020",
            "fax_number": "253-536-5327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MARY",
        "middle_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60318442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "RYAN",
            "middle_name": "WALDEN",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Trace Hamilton Rutherford, D.D.S.
• Katherine Logan Rutland, DMD
• Trevis Rutledge
• Kathleen A Ryan, B.A.
• Kevin Gerard Ryan, M.D.
• Molly Ryan, ATC
• Meredith K Rychener, PT
• Grace Ryder
• Lisa Marie Ryder, M.D.
• Anna Kathryn Rye Burch, MD

• Physician Assistant in Columbia, SC
• Providers in Columbia, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.